Jenna K Holt, LCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004491 Issued in VA

Practice address

336 S Wayne Ave
Waynesboro, VA 22980-4738

Phone

(434) 444-3416

NPI assigned

Nov 28, 2011

Last updated

Nov 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1902173479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 S WAYNE AVE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229804738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S WAYNE AVE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229804738",
            "telephone_number": "434-444-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "JENNA",
        "middle_name": "K",
        "credential": "LCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Ann Howe Heineck, OTD, OTR/L
• Megan Hewitt
• Amy Elisabeth Hildebrandt, PTA, LMT
• Ryan Madison Holder, OTD, OTR/L
• Holistic Growth Psychology
• Angela Dillard Honeycutt, FNP-C
• Kellie Lavin Honeycutt
• David Leroy Hopewell III, PHARM D
• Horizons Therapy Inc
• Lauren M Horn, NP

• Clinical Psychologist in Waynesboro, VA
• Providers in Waynesboro, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.